| NPI | 1003973751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL MARTINEZ President 305-823-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL HCC6839) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-01-13 |